DR. KOSHY K VARGHESE (NPI# 1154311496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154311496 |
| Entity Type | Individual |
| Full Name | DR. KOSHY K VARGHESE |
| Credential | M.D. |
| Practice Address |
7800 Shoal Creek Blvd Ste 130w Austin TX 78757-1040 |
| Mailing Address |
645 County Road 262 Georgetown TX 78628-1970 |
| Practice Telephone | 5124078880 |
| Mailing Telephone | 5125082711 |
| Mailing Fax Number | 5128698648 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2020-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | K6732 | TX | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | K6732 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
K6732 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 645 County Road 262, Georgetown, TX 786281970 | 5125082711 | 5128698648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184982936 | Koshy Varghese | Physical Therapy Assistant | 518 W Fletcher Ave, Tampa, FL 33612-3419 | 2012-04-30 |
| Street Address |
7800 SHOAL CREEK BLVD STE 130W |
| City | AUSTIN |
| State | TX |
| Zip Code | 78757-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871143560 | Venessa Gonzalez Robles | Nurse Practitioner | 7800 Shoal Creek Blvd Ste 130w, Austin, TX 78757-1040 | 2019-09-16 |
| 1174097299 | Tarah E Wood | Nurse Practitioner | 7800 Shoal Creek Blvd Ste 130w, Austin, TX 78757 | 2019-01-11 |
| 1174980437 | Kelly Coleman | Clinical Nurse Specialist | 7800 Shoal Creek Blvd Ste 130w, Austin, TX 78757 | 2016-01-18 |
| 1912259763 | Karen B Wallen | Nurse Practitioner | 7800 Shoal Creek Blvd Ste 130w, Austin, TX 78757-1040 | 2012-10-03 |
| 1326202169 | Leticia Iliana Tiscareno-grajeda | Internal Medicine | 7800 Shoal Creek Blvd Ste 130w, Austin, TX 78757-1040 | 2008-07-10 |
| 1821121112 | Marenda D Dent | Family Medicine | 7800 Shoal Creek Blvd Ste 130w, Austin, TX 78757-1040 | 2007-03-14 |
| 1962553149 | Yale S Pearlson | Internal Medicine | 7800 Shoal Creek Blvd Ste 130w, Austin, TX 78757-1040 | 2007-01-15 |
| 1780748673 | Sharon R Mcgeeney | Internal Medicine | 7800 Shoal Creek Blvd Ste 130w, Austin, TX 78757-1040 | 2006-12-22 |
| 1821175407 | Thomas M Daniel | Internal Medicine | 7800 Shoal Creek Blvd Ste 130w, Austin, TX 78757 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518518927 | Mark D Newberry | Pharmacist | 8500 Shoal Creek Blvd Bldg 3 Ste 200, Austin, TX 78757 | 2019-09-26 |
| 1972063634 | Napa Center Usa, LLC | Physical Therapist | 8640 Burnet Rd, Austin, TX 78757 | 2019-03-20 |
| 1013493071 | Anna Cathleen Mccormack | Pharmacist | 2525 W Anderson Lane Bldg 2, Austin, TX 78757 | 2018-07-12 |
| 1336633379 | Claire Siegel | Dietitian, Registered | 7421 Burnet Rd # 269, Austin, TX 78757 | 2018-06-21 |
| 1619372687 | Krishna Gc | Nurse Practitioner | 7950 Anderson Square Suite 108, 225, Austin, TX 78757 | 2014-11-03 |
| 1447669874 | Nicholas Dale Taylor | Psychologist | 8500 Shoal Creek Blvd Ste 201, Austin, TX 78757 | 2014-08-11 |
| 1396155404 | Onsite Chiropractic, Pllc | Chiropractor | 1929 Payton Gin Rd., Ste E, Austin, TX 78757 | 2014-04-29 |
| 1578994703 | Greentree Health Pain Management | Pain Medicine | 8900 Shoal Creek Bvld, Bldg 200, Austin, TX 78757 | 2013-12-13 |
| 1457692139 | Harbor Hospice of Georgetown, Lp | Hospice Care, Community Based | 7800 Shoal Creek Boulevard, Suite 105n, Austin, TEXAS 78757 | 2013-03-06 |
| 1821335852 | Janet Lee Cook | Acupuncturist | 8303 Shoal Creek Boulevard, Austin, TX 78757 | 2013-01-10 |
| Find all providers in zip 78757 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841634854 | Michael L. Krol | Internal Medicine | 1108 Lavaca St Ste 110-320, Austin, TX 78701-2172 | 2013-04-20 |
| 1558530048 | Denise Rene Moraw | Internal Medicine | 9007 Rock Way Dr, Austin, TX 78736-7731 | 2008-02-28 |
| 1548319916 | Leslie Ludwig Cortes | Internal Medicine | 12401 Research Blvd Ste 220, Austin, TX 78759-2314 | 2007-01-09 |
| 1679598718 | Peggy M Russell | Internal Medicine | 1108 Lavaca St, 110-320, Austin, TX 78701-2172 | 2006-07-12 |
| 1669469235 | Mary S Maxwell | Internal Medicine | 4107 Medical Pkwy Ste 210, Austin, TX 78756-3738 | 2005-09-29 |
| 1780681163 | George Randolph Robison | Internal Medicine | 1000 Payton Gin Rd, Ste S, Austin, TX 78758-6766 | 2005-06-30 |
| 1558789487 | Joan E Lange | Internal Medicine | 1108 Lavaca St Ste 110-320, Austin, TX 78701-2172 | 2014-03-28 |
| 1063774602 | Steven K. Booton, M.d., P.a. | Internal Medicine | 720 W 34th St, Suite 100, Austin, TX 78705-1205 | 2012-06-11 |
| 1013247980 | Harden Clinical Services LLC | Internal Medicine | 3307 Northland Dr, Austin, TX 78731-4946 | 2009-12-28 |
| 1801055587 | Sarah Elizabeth Matt | Internal Medicine | 6448 E Hwy 290, Suite # D-103, Austin, TX 78723-1068 | 2008-06-06 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.